Abnormal Labour

Descripción

Abnormal Labour lecture given on the Thursday morning of Week 4
Matthew Coulson
Test por Matthew Coulson, actualizado hace más de 1 año
Matthew Coulson
Creado por Matthew Coulson hace casi 6 años
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Resumen del Recurso

Pregunta 1

Pregunta
[blank_start]60%[blank_end] of pregnancies are delivered vaginally with no complications [blank_start]25%[blank_end] of pregnancies are delivered by c-section
Respuesta
  • 60%
  • 40%
  • 80%
  • 25%
  • 10%
  • 40%

Pregunta 2

Pregunta
The anterior and posterior fontanelles along with the parietal eminences make up which area of the foetal skull? The [blank_start]Vertex[blank_end]
Respuesta
  • Vertex

Pregunta 3

Pregunta
Pre-term is defined as delivery before [blank_start]37 weeks[blank_end] Post-term is defined as delivery after [blank_start]42 weeks[blank_end]
Respuesta
  • 37 weeks
  • 36 weeks
  • 38 weeks
  • 42 weeks
  • 40 weeks
  • 41 weeks

Pregunta 4

Pregunta
Name the following types of breech presentation:
Respuesta
  • Complete breech
  • Footling breech
  • Frank breech

Pregunta 5

Pregunta
The type of breech presentation whereby the baby presents bottom first due to having their feet by their head is known as a [blank_start]frank[blank_end] breech
Respuesta
  • frank

Pregunta 6

Pregunta
Failure to progress is defined as [blank_start]<2cm[blank_end] cervical dilation in [blank_start]4[blank_end] hours
Respuesta
  • <2cm
  • <4cm
  • 4
  • 6
  • 8

Pregunta 7

Pregunta
Progression of the foetus through the maternal pelvis is quantified in relation to which bony landmarks? The [blank_start]Ischial Spines[blank_end]
Respuesta
  • Ischial Spines

Pregunta 8

Pregunta
A foetal progression of +3 would suggest that the baby is around 3cm [blank_start]below[blank_end] the ischial spines
Respuesta
  • below
  • above

Pregunta 9

Pregunta
What are the 3 Ps in relation to failure to progress? (shorted word to longest): [blank_start]Power[blank_end] [blank_start]Passage[blank_end] [blank_start]Passenger[blank_end]
Respuesta
  • Passage
  • Power
  • Passenger

Pregunta 10

Pregunta
The [blank_start]Partogram[blank_end] is used to record graphical information about the progress of labour in which the information about the fetal well-being, maternal well-being and the progress of labour are recorded onto a single chart
Respuesta
  • Partogram

Pregunta 11

Pregunta
Syntocinon is the synthetic form of the hormone [blank_start]oxytocin[blank_end] that is used to induce uterine contractions in labour
Respuesta
  • oxytocin

Pregunta 12

Pregunta
The chart on which the foetal heart rate is monitored alongside maternal uterine contractions is known as the [blank_start]cardiotocogram[blank_end] (don't use abbreviation)
Respuesta
  • cardiotocogram

Pregunta 13

Pregunta
Cardiotocograms (CTGs) are analysed using the acronym DR C BRAVADO. What do the letters stand for? DR - [blank_start]Define Risk[blank_end] C - [blank_start]Contractions[blank_end] BRA - [blank_start]Baseline Rate[blank_end] V - [blank_start]Variability[blank_end] A - [blank_start]Accelerations[blank_end] D - [blank_start]Decelerations[blank_end] O - [blank_start]Overall[blank_end] Judgement
Respuesta
  • Define Risk
  • Contractions
  • Baseline Rate
  • Variability
  • Accelerations
  • Decelerations
  • Overall

Pregunta 14

Pregunta
In terms of analysing the CTG, the Baseline Rate refers to the foetal heart rate. What is the normal foetal heart rate? Between [blank_start]100-160[blank_end] BPM
Respuesta
  • 100-160
  • 100-140
  • 120-140
  • 120-160

Pregunta 15

Pregunta
In terms of analysing the CTG, the variability refers to the change in the foetal heart rate from one beat to the next. In a healthy foetus, the variability is between [blank_start]5-25[blank_end] BPM
Respuesta
  • 5-25
  • 5-10
  • 10-20
  • 15-25

Pregunta 16

Pregunta
In terms of analysing the CTG, accelerations are abrupt increases in the foetal heart rate of >[blank_start]15[blank_end]BPM for >[blank_start]15[blank_end] seconds
Respuesta
  • 15
  • 5
  • 10
  • 15
  • 5
  • 10

Pregunta 17

Pregunta
In terms of the CTG, accelerations occurring alongside contractions are [blank_start]normal[blank_end] and reassuring of [blank_start]a healthy[blank_end] foetus
Respuesta
  • normal
  • abnormal
  • a healthy
  • an unhealthy

Pregunta 18

Pregunta
In terms of analysing the CTG, decelerations are abrupt decreases in the foetal heart rate of >[blank_start]15[blank_end]BPM for >[blank_start]15[blank_end] seconds
Respuesta
  • 15
  • 5
  • 10
  • 15
  • 5
  • 10

Pregunta 19

Pregunta
Decelerations can be early, late or variable: [blank_start]Early decelerations[blank_end]: Occur exactly in time with uterine contractions and recover by the time the contraction is over [blank_start]Variable decelerations[blank_end]: Have a variable recovery time [blank_start]Late decelerations[blank_end]: Occur at the peak of a contraction and don’t recover until after the contraction is over
Respuesta
  • Early decelerations
  • Variable decelerations
  • Late decelerations

Pregunta 20

Pregunta
Which type of decelerations are usually caused by cord compression?
Respuesta
  • Early Decelerations
  • Variable Decelerations
  • Late Decelerations

Pregunta 21

Pregunta
Which type of deceleration is considered normal and expected on a CTG?
Respuesta
  • Early Deceleration
  • Variable Deceleration
  • Late Deceleration

Pregunta 22

Pregunta
Which type of decelerations are almost always a sign of foetal distress and should be thoroughly investigated?
Respuesta
  • Early Decelerations
  • Variable Decelerations
  • Late Decelerations

Pregunta 23

Pregunta
Which 2 sites can you take blood from to determine if a foetus is hypoxic?
Respuesta
  • Capillaries in the foetal scalp (via vaginal examination)
  • Umbilical cord upon delivery
  • Amniotic fluid
  • Maternal blood

Pregunta 24

Pregunta
If the foetal blood pH is [blank_start]under 7.2[blank_end] the baby is likely to be hypoxic and should be delivered
Respuesta
  • under 7.2
  • under 7.3
  • over 7.4
  • over 7.5

Pregunta 25

Pregunta
Assisted Vaginal Delivery typically involves these two tools. What are they called?
Respuesta
  • Forceps
  • Ventouse

Pregunta 26

Pregunta
In the case of failure to progress in labour (without epidural anaesthesia), how long would you try for a spontaneous vaginal delivery before attempting assisted vaginal delivery? Primigravida = [blank_start]2 hours[blank_end] Multiparous = [blank_start]1 hour[blank_end]
Respuesta
  • 2 hours
  • 1 hour
  • 1 hour
  • 2 hours

Pregunta 27

Pregunta
Ventouse delivery is typically more effective that a forceps delivery
Respuesta
  • True
  • False

Pregunta 28

Pregunta
Which condition, characterised by a deep rooted placenta, becomes more likely in subsequent pregnancies if a woman is to have a caesarean section? [blank_start]Placenta accreta[blank_end]
Respuesta
  • Placenta accreta

Pregunta 29

Pregunta
Which of the following warrants immediate foetal blood sampling?
Respuesta
  • Presence of Variable Decelerations
  • Presence of Late Decelerations
  • Presence of Early Accelerations
  • Foetal Heart Rate = 114
  • Foetal Heart Rate Variability = 24 BPM

Pregunta 30

Pregunta
A foetal blood sample indicates that the blood is more acidic than it should be. What is your next move?
Respuesta
  • Immediate Foetal Transabdominal Ultrasound
  • Emergency C-section
  • Emergency Syntocinon Infusion
  • Maternal Blood Transfusion
  • Take Maternal blood to investigate for foetal hypoxia
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